Christina Stavrakas, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

76587 Issued in MA

Practice address

1996 Centre St Lowr Level
West Roxbury, MA 02132-3329

Phone

(508) 233-3591

NPI assigned

Mar 24, 2018

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Learning Gallery

  • Speech-Language Pathologist
  • West Roxbury, MA
  • NPI 1356931125
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1336644202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST LOWR LEVEL",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323329",
            "telephone_number": "508-233-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1996 CENTRE ST LOWR LEVEL",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021323329",
            "telephone_number": "508-233-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVRAKAS",
        "first_name": "CHRISTINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Elizabeth Spradling, DO
• Robert S Sprague, M.D.
• Carolyn Spungin
• Venkatesh Srinivasa, MD
• Claire Stauffer
• Hannah Steere, MD
• Stephen V McLaughlin DMD
• Shelley Lois Stevens, M.A. CCC/SLP
• Cara Lynn Stockman, DPT, PT
• Stonehedge Ma SNF LLC (Stonehedge Health Care Center)

• Speech-Language Pathologist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.